Active NPI
Heather Marie Beierle, OD
- Optometrist
- Vestal, NY
National Provider Identifier
1295797447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT0067171
- Practice address
- 3900 Vestal Pky E
Empire Vision Centers
Vestal, NY 13850 - Phone
- (607) 771-1212
- Fax
- (607) 729-2605
- NPI assigned
- Apr 4, 2006
- Last updated
- Feb 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT0067171 | NY | Primary |
Addresses
Primary practice location
3900 Vestal Pky E
Empire Vision Centers
Vestal, NY 13850
Mailing address
2921 Erie Blvd E
Empire Vision Center, Inc
Syracuse, NY 13224
Phone (315) 445-7465
Other names 1
- Dr. Heather Marie Lantz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT0067171 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Binghamton Ophthalmology Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba South Side Optical
- Eyewear Supplier
- Binghamton, NY
- NPI 1245352996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1295797447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 ERIE BLVD E",
"address_2": "EMPIRE VISION CENTER, INC",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13224",
"telephone_number": "315-445-7465",
"fax_number": "315-445-7675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 VESTAL PKY E",
"address_2": "EMPIRE VISION CENTERS",
"city": "VESTAL",
"state": "NY",
"postal_code": "13850",
"telephone_number": "607-771-1212",
"fax_number": "607-729-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEIERLE",
"first_name": "HEATHER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT0067171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "LANTZ",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.